Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings

ICR 199911-3220-001

OMB: 3220-0107

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0107 199911-3220-001
Historical Active 199610-3220-002
RRB
Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings
Extension without change of a currently approved collection   No
Regular
Approved without change 01/18/2000
Retrieve Notice of Action (NOA) 11/23/1999
  Inventory as of this Action Requested Previously Approved
01/31/2003 01/31/2003 03/31/2000
300 0 600
150 0 300
0 0 0

Under the Railroad Retirement Act (RRA), benefits are not payable if an annuitant works for an employer covered under the RRA or last non-railroad employer. The collection obtains information regarding an annuitant's work and earnings from a non-railroad employer. The information will be used for determining whether benefits should be withheld.

None
None


No

1
IC Title Form No. Form Name
Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings RL-231-F

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 600 0 0 -300 0
Annual Time Burden (Hours) 150 300 0 0 -150 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/23/1999


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